Unique ID issued by UMIN | UMIN000035536 |
---|---|
Receipt number | R000022621 |
Scientific Title | Pilot study to explore additional indication of therapeutic hypothermia for neonates |
Date of disclosure of the study information | 2019/01/14 |
Last modified on | 2019/01/14 19:13:13 |
Pilot study to explore additional indication of therapeutic hypothermia for neonates
Additional indication of hypothermia for neonates
Pilot study to explore additional indication of therapeutic hypothermia for neonates
Additional indication of hypothermia for neonates
Japan |
Neonatal encephalopathy
Neurology | Obstetrics and Gynecology | Pediatrics |
Intensive care medicine |
Others
NO
To assess the safety of moderate systemic hypothermia for 72 hours in neonates who are either slightly (i) less matured (33-35 weeks), (ii) less severely asphyxiated, (iii) mildly encephalopathic, or (iv) older (6-12 hours) than those cooled in previous phase-III trials.
Safety
Death or severe adverse events until hospital discharge
Days on mechanical ventilation
Age at hospital discharge
Requirement for tube-feeding at discharge
Death or moderate disability (Time Frame: Birth to 18-22 months corrected age)
Brain MRI findings (Time Frame: 5-14 days)
Interventional
expanded access
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Device,equipment | Other |
Induced whole-body cooling with a target core body temoerature of 33.5C for 72 hours
1 | days-old | <= |
1 | days-old | >= |
Male and Female
Neonates are first assessed using the standard criteria for therapeutic hypothermia* (Shankaran et al. NEJM 2005).
1. Neonates born at 36 weeks gestation or greater, and body weight >1799g
2. Postnatal age < 6 hours after birth
3. At least one of the following criteria:
- Apgar score 0-5 at 10 minutes
- Cord or first postnatal blood pH less than 7.0
- Cord or first postnatal blood Base deficit greater than 16 mEq/L
- Need for continued resuscitation at least 10 minutes
4. Abnormal neurological exam suggesting the presence of moderate or severe encephalopathy
Neonates who meet 3 of 4 criteria are assessed for eligibility using the following entry criteria.
Category 1: Neonates < 36 weeks gestation but > 33 0/7 weeks, and/or body weight between 1500g and 1799g.
Category 2: Neonates between 6 and 12 hours of birth when cooling is initiated.
Category 3: At least one of the following criteria:
- Apgar 0-5 at 5 minutes
- pH less than 7.1
- Base deficit greater than 10 mEq/L
Category 4: Abnormal neurological exam suggesting the presence of mild encephalopathy
Gestational age <33 weeks or body weight <1500g.
Older than 12 hours of birth.
Neonates deemed inappropriate for cooling because of critical clinical conditions, such as severe haemorrhagic diathesis, congenital malformations, infection and cardiopulmonary failure.
30
1st name | |
Middle name | |
Last name | Osuke Iwata |
Kurume University School of Medicine
Dept of Paediatrics
67 Asahimachi, Kurume, Fukuoka, 830-0011 Japan
0942-35-3311
oiwata@med.kurume-u.ac.jp
1st name | |
Middle name | |
Last name | Kennosuke Tsuda |
Yokohama City University Medical Center
Pediatrics
4-57 Urafune, Minami, Yokohama, Kanagawa, Japan
045-261-5656
kentsuda1222@hotmail.co.jp
Kurume University School of Medicine
Ministry of Health, Labour and Welfare
Japanese Governmental office
Committee on Resuscitation, Japan Society of Perinatal and Neonatal Medicine
NO
2019 | Year | 01 | Month | 14 | Day |
Unpublished
Completed
2015 | Year | 09 | Month | 30 | Day |
2015 | Year | 10 | Month | 01 | Day |
2018 | Year | 12 | Month | 01 | Day |
2018 | Year | 12 | Month | 31 | Day |
2019 | Year | 01 | Month | 31 | Day |
2019 | Year | 03 | Month | 31 | Day |
2019 | Year | 01 | Month | 14 | Day |
2019 | Year | 01 | Month | 14 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000022621